肝包虫外囊完整剥除术在肝包虫病手术治疗中的价值

目的 探讨肝包虫外囊完整剥除术在肝包虫手术治疗中的价值。方法 对223例肝包虫病患者手术情况进行回顾性分析,分为囊肿切除组（98例）与保留外囊组（125例）;囊肿切除组又分外囊切除组（87例）与肝叶部分切除组（11例）。观察指标为术后平均住院日、术中出血量、残腔并发症发生率及原位复发率等。结果 囊肿切除组术后残腔并发症发生率及原位复发率均低于保留外囊组（P〈0．01）。外囊切除组的术中出血量及住院天数均低于肝叶部分切除组（P〈0．01）。结论 肝包虫外囊完整剥除术可有效降低术后残腔并发症的发生率及原位复发率,在治疗肝包虫病的手术中是一种首选的合理术式。

The evaluation of total cystectomy for treatment of hepatic cystic echinococcosis

Objective To evaluate the application of total-cystectomy in the hepatic cystic echinococcosis(HCE).Methods An retrospective analysis was made in 223 cases of HCE. The observation targets included the days post operative, blood loss during operation, complications of residual cavity and local recurrence . The patients were divided into two groups: cyst-resection group and cyst ectomy group.The cyst-resection group was divided into two sub-groups,per cystectomy group and liver resection group. Results The incidences of residual cavity and local recurrence in the cyst-resection group were lower than that in the cystectomy group(P<0.01).The incidences of blood loss and average days in ward in the per cystectomy group were lower than that in partial liver resection group(P<0.01). Conclusions HCE can decrease the complication of liver residual cavity and local recurrence effectively, total cystectomy should be selected as first procedures for treatment of hepatic cystic echinococcosis.